Registered Nursing Programs Student Handbook Accredited by: 3343 Peachtree Road NE Suite 850 Atlanta, GA 30326 404-975-5000 Revised 08/2017 1
TABLE OF CONTENTS I. Nursing Programs Overview... 4 1. Mission... 5 2. Purpose... 5 3. Philosophy... 5 4. Nursing Education... 5-6 5. Nursing Scholarship Definition... 6 6. Nursing Program s Conceptual Framework/Roles of the Nurse... 7-9 7. Nursing Department Organizational Chart: ADN and LPN... 11 8. ADN Behavioral Objectives Level I... 12 9. ADN Behavioral Objectives Level II... 14 10. ADN Educational/Graduate Objectives... 15 11. ADN Program Outcomes... 16 12. Associate in Science Degree Nursing Programs... 16 A. Generic Program... 16 B. Transition Program... 16 II. Student Policies... 17 1. HIRRE Policy... 18 2. Criminal Background Checks... 19 3. Health Clearance... 19 4. Drug Screen... 20 5. Insurance Coverage... 20 6. Attendance... 20 7. Testing/Examination... 22 8. Academic Dishonesty....23 9. Guidelines for Written Assignments... 25 10. ATI Testing... 25 11. Clinical Dress, Grooming Code and Uniform Policies... 27 12. Uniform Requirements: Clinical and Observational... 27 13. Grooming... 28 14. Student Evaluation... 29 15. Laboratory Evaluation Procedures... 29 16. Clinical Simulation Experiences... 30 17. Clinical Evaluation Procedures... 30 18. Clinical Misconduct... 31 19. Required Clinical Paperwork..31 20. Progression in the Program... 32 21. SUCCESS Program... 32 22. Re-Admission to Limited Access Program... 32 23. Re-entry into Practicum... 33 24. Graduation... 33 25. Conduct and Faculty Student Interactions... 33 26. Dismissal from the Nursing Program... 34 27. Transfer Procedures for Nursing Programs... 34 28. College Services... 34 29. Student Employment... 34 III. Occupational Safety Guidelines... 37 1. Infection Control Policies... 37 2. HIV - Hepatitis Policy... 37 3. Personal Protective Equipment PPE... 38 Revised 08/2017 2
4. Varicella/Rubella/TDAP Policy/... 38 5. PPD Policy & Respiratory Protection Policy... 39 6. Flu Immunization Policy... 39 IV. Student Nurse Associations... 40 1. ADN Nightingale Nursing Club... 41 2. Pinning Ceremony......41 V. Graduate Licensure Instructions... 42 1. Instructions... 43 2. Program Codes... 43 3. Students with a Criminal History... 44 4. Re-examination Applicants... 46 VI. Appendix... 46 1. Assessment Technology Institute Overview....47 2. Administration & Grading Policies of Proctored Specialty Exams... 47 3. Testing Procedure... 48 50 4. Grading... 51 5. Point Allocation Generic Program... 52 6. Point Allocation Transition Program... 53 This Student Handbook is designed to provide you with information about PHSC's Generic and Transitional Nursing Programs. It is to be used in conjunction with the PHSC College Catalog and the nursing course syllabus for each course. Every effort is made to keep the information in this Handbook current. However, policy and procedural changes may be made at any time. Therefore, please check with your clinical instructor each semester. It is your responsibility to keep up to date. Any portion of the Nursing Programs Handbook may be revised at any time by action of the Nursing Department. Such revision shall be binding on all parties. Accreditations Accreditation Commission for Education in Nursing (ACEN) Pasco-Hernando State College Associate in Science Degree in Nursing Program is fully approved by the Florida Board of Nursing and accredited by the Accreditation Commission for Education in Nursing (ACEN) 3343 Peachtree Road NE, Suite 850, Atlanta, GA 30326. Southern Association of Colleges and Schools Commission on Colleges Pasco-Hernando State College is accredited by the Southern Association of Colleges and Schools Commission on Colleges to award Associate and Baccalaureate Degrees. Contact the Commission on Colleges at 1866 Southern Lane, Decatur, Georgia 30033-4097 or call 404-679-4500 for questions about the accreditation of Pasco-Hernando State College. Program Outcomes January 1, 2016 Dec 31, 2016 Completion Rate: 84.34 % NCLEX Pass Rate: 83.74 % January 1, 2016 Dec 31, 2016 Job Placement 97 % Revised 08/2017 3
Section I Nursing Programs Overview Revised 08/2017 4
Nursing Program s Mission The Nursing Programs at Pasco-Hernando State College (PHSC) serve to support and assist in implementing the philosophy and objectives of the college through the Associate Degree Nursing Programs, the Technical Certificate Practical Nursing Program, and continuing education for licensed nurses. Members of the nursing faculty recognize their responsibilities to support diverse learning experiences which guide students in attaining academic success and cultural growth, to build and expand their knowledge and skills to promote their own personal and professional development and to participate in community activities in a global society. Purpose The Associate Degree Nursing Program will: l. Prepare an educated entry level practitioner who provides safe, competent nursing care to clients experiencing defined health needs with predictable outcomes in a variety of nurse practice settings. 2. Provide a foundation for future education in nursing and lifelong learning. 3. Foster a commitment to the art and science of nursing. 4. Provide opportunities for cultural enrichment and for personal and professional development. Nursing Philosophy The PHSC nursing faculty believes that nursing is an art and a science with its own unique body of knowledge. This body of knowledge is derived from the scientific and/or theoretical principles of the arts, nursing and the physical, biological, social and behavioral sciences. The nursing faculty believes that the core concepts of nursing are the person, health, environment, and nursing. We believe that each person is a unique and holistic individual with dynamic basic health needs which are critical to physiological and psychological integrity. The person, as a client, is a consumer of health care. We believe that health is a dynamic state in which a person adapts to changes in his/her internal and external environments to maintain physical, emotional, intellectual, social and spiritual well- being. We believe that the environment consists of all internal and external factors that influence the person. These factors include but are not limited to physical, bio psychosocial, and cultural surroundings. We believe that nursing is the interactive, holistic process whereby a client is assisted to attain and maintain an optimal level of health within a nurse practice setting. A client is a person, family, or community. A nurse practice setting is anywhere the physical and/or psychosocial relationship of nursing care is established. The nursing faculty believes that nursing process provides the framework for analysis of the practice of nursing and helps to incorporate the ability of the nurse to function in identified, interactive roles. Nursing roles are defined as: provider of care, communicator, teacher, manager and member of profession. The nursing faculty further believes that nursing education provides the pre-requisite knowledge and environment for: nursing students to develop practice and evaluate critical thinking and clinical judgment based on their scope of practice relative to their licensure status. Nursing Education The nursing faculty believes that nursing education is a dynamic interactive process that utilizes theoretical instruction and clinical practice in a curriculum developed by nursing faculty. Opportunities are provided for students to progressively apply the nursing process to client care across the lifespan in a variety of nurse practice settings. Learning experiences reflect the unifying curriculum concepts within the cognitive, psychomotor and affective domains of learning. The nursing faculty believes that learning is a lifelong process that proceeds at varying rates and one in which new information and experiences are incorporated into and become a part of each individual's cognitive framework. New information and experiences are incorporated into an individual's cognitive framework more readily when presented from simple to complex and from common (more frequently occurring) to uncommon (less frequently occurring). Learning is demonstrated by changes in attitudes and behavior. Motivation for these changes must take place within the learner and is facilitated by the teaching-learning process that leads to self-discovery. Revised 08/2017 5
The nursing faculty believes that the expanded use of information technology has allowed for additional learning opportunities for nursing students in the classroom, clinical/lab, clinical simulation and clinical settings. Utilizing enhanced technologies in both the classroom and learning management system allows for students to incorporate different learning methods/strategies leading to improved outcomes. The nursing faculty encourages students to utilize evidenced based practice as a methodology to build on one s knowledge base and to help improve client health outcomes. The nursing faculty believes that the evaluation of teaching and of learning is ongoing formative and summative processes. We believe that self-evaluation and instructional evaluation are integral parts of education. Instructional evaluation is predicated on the responsibility of nursing faculty to maintain expertise in their respective areas such as teaching, service, clinical practice and/or scholarship. Curriculum evaluation is based on established philosophy and objectives, outcome achievement, and regulatory/accredited agency guidelines that are reviewed annually by nursing faculty. Opportunities for student contribution are provided. Faculty, students and a Nursing Advisory Committee participate in review of Nursing Program outcomes. The nursing faculty further believes that associate degree nurses are prepared to provide client services in a variety of nurse practice settings and administer care to clients experiencing defined health needs with predictable outcomes. Practical Nurses assist with client care under the supervision of the Registered Nurse and within the limits set in their scope of practice. The nursing faculty believes that the Practical Nursing program is the entry level into the practice of nursing. The nursing faculty further believes that the Associate Degree Program in Nursing (ADN) prepares students for initial licensure as a registered nurse and that it spans a period of at least two years in an academic setting. The location of the ADN Program and the Technical Certificate Practical Nursing Program within the community college setting is appropriate to acquire the necessary body of knowledge for individuals to take their places in the community as educated productive citizens prepared for competent technical and practical nursing practice. This setting provides educational opportunities without regard to race, color, age, religion, marital status, sex, disability or national origin. This philosophy statement, as developed by PHSC nursing faculty, is in agreement with the standards set forth by the Florida State Board of Nursing, the Florida Department of Education, and with the criteria established by the Accreditation Commission for Education in Nursing (ACEN). Faculty Workshop, Pasco-Hernando Community College, April, 1981. Faculty Workshop, Chinsegut. August, 1987. Faculty Review and Approval, June 1991, 1992. Faculty Review and Revision May 1993, January 1994. Faculty Review and Approval, May 1994.Nursing Advisory Committee Review and Approval, January 1995. Faculty Review and Revision, 1999/2000 Faculty Review and Revision, 2004/2005 Faculty Review and Revision 2012/2013 Faculty Review and Revision 2014 Faculty Review and Revision 2015 Faculty Review and Revision 2016 Faculty Review and Revision 2017 Nursing Scholarship To ensure an academically rigorous and structured approach to nursing education, the nursing faculty has adopted the following definition of nursing scholarship, which is reflected in the nursing curriculum. Definition of Nursing Scholarship The efforts whereby an individual or group of individuals applies learned knowledge in order to promote professional growth of a discipline. The efforts (activities) include but are not limited to: clinical practice, writing for professional journals; participating in review/edition/writing of textbooks; attendance at conferences to engage in critical thinking/learning activities; participating in community, national and international associations, and participating in research development of educational engagement/mentoring activities to improve learning outcomes Revised 08/2017 6
Furthermore, the Nursing Faculty believes that it is imperative to provide learning opportunities for both faculty and students to participate in the pursuit of nursing scholarship activities so as to improve both student and professional outcomes. Nursing Program s Conceptual Framework The unifying concepts for the nursing program at PHSC are the basic health needs, roles of the nurse and nursing process. These concepts, as defined by this faculty are Basic Health Needs The basic health needs, which are influenced by internal and external factors are as follows: Oxygenation Nutrition Elimination Mobility Comfort/Safety Security Is the needs to maintain normal circulatory and respiratory functions as indicated by established physiological factors Is the need to ingest and metabolize foods and fluids in order to build and restore tissues and to promote balance of fluids and electrolytes within the body Is the need to discard products of metabolism that are no longer useful to the body Is the need for movement within the environment to perform activities of living and to maneuver safely at an optimum level for the person Is the need to maintain a positive image, and an environment that is conducive to adequate rest and sleep patterns, and to manage stress and pain Is the need to function in an environment that provides for protection against disease and assaults or insults to the person Roles of the Nurse The roles of the associate degree (ADN) nurse in assisting client(s) to meet basic health needs are identified as follows: Provider of Care: As provider of care, the AD nurse utilizes therapeutic nursing interventions, critical thinking and interactive skills to provide individualized client care, characterized by caring, clinical competence and accountability. Communicator: As a communicator, the AD nurse demonstrates cultural awareness, individual respect and unconditional regard for the client and the client s choices. This is accomplished through the use of verbal and nonverbal interactive skills that support a therapeutic environment of caring, compassion and trust. The nurse collaborates with the client, significant others, colleagues and other members of the health care team utilizing effective verbal and written skills, group process, and information technologies and/or media production. Collaboration results in a team effort to meet client needs and promote positive outcomes. Revised 08/2017 7
Teacher: As a teacher, the AD nurse utilizes teaching and learning principles to provide health care education in collaboration with the client, significant others, and members of the health care team. Teaching facilitates informed decision making and supports self-care activities. Teaching assists the client to achieve positive outcomes. Manager of Care: As a manager of care, the AD nurse utilizes physical, financial and technological resources to meet client needs and support organizational outcomes. This is accomplished through planned organization, delegation, collaboration and evaluation skills in support of the client experiencing defined health needs with predictable outcomes. The nurse collaborates with the client, significant others and members of the health care team, in order to assist the client transition within and across health care settings and to access resources in a cost effective manner. Member of Profession: As a member of the profession, the AD nurse demonstrates a commitment to caring, professional growth, continuous learning and self-development; and practices within the legal and ethical parameters of nursing based on standard of care and scope of practice. Nursing Process The nursing process provides an operational framework for the nurse to insure safe, effective care. The nurse utilizes critical thinking to effectively implement the nursing process and provide the basis for appropriate clinical decision making. Critical thinking is the use of reasoning in the analysis, synthesis and evaluation of client data and other information. Clinical decisions are judgments made resulting in therapeutic nursing interventions to increase the effectiveness of care and mobilize resources to attain positive client outcomes. The following table differentiates the role of the ADN and the LPN in each component of the nursing process. Process Component LPN ADN Assessment Collects pertinent data/information to be Assesses pertinent data/information to used in initial and ongoing observations for patients. formulate a plan of care for patients and/or a group of patients. Nursing Diagnosis Planning Assists with, performs, supports, and contributes in the formulation of the patient nursing diagnosis. Performs interventions, supports, and contributes to the plan of care for the patient. Formulates and prioritizes nursing diagnoses Manages, implements, supports, and contributes to the plan of care for the patient. Determines and prioritizes care outcomes. Implements therapeutic and preventive nursing treatment. Implementation Performs activities related to plan of care. Performs or delegates activities to be performed related to the plan of care. Evaluation Observes and reports outcomes and assists with the revision to the patient s plan of care through collaboration with the RN and other healthcare members. Decides on the effectiveness of care and modifies the plan of care based on the change in the patient condition and clinical judgment. Revised 08/2017 8
Furthermore, the nursing faculty has defined major curriculum threads that are addressed throughout the nursing programs. The major curriculum threads are: Growth and Development Pharmacology Pathophysiology Nutrition Global & Cultural Awareness/Gender Diversity Health Promotion are the individualized orderly, anticipated, dynamic processes beginning with conception and continuing to death is the study of the source, properties, uses, action and effects of any oral, parenteral, or topical substance used to alleviate symptoms of and treat or control a disease process or aid recovery from an injury. is the study of altered function of body organs and systems. Actual or potential pathophysiologic change indicates the need for nursing assessment, diagnosis, planning, implementation and evaluation. includes the processes involved in the taking in of nutrients in order to maintain and improve optimal body functioning and maintenance of health. These include metabolic processes such as but not limited to ingestion, digestion, absorption, assimilation and excretion. includes the recognition of and respect for the effects of all person s values, beliefs, attitudes, customs, lifestyle and gender on health care and health care related choices. is the provision of knowledge and resources necessary to enable the client to maintain or to enhance a present level of health. Faculty Review and Revision, March April, 1999 Faculty Review and Revision, May, 2000 Faculty Review and Revision, May, 2004/2005 Faculty Review and Revision, September, 2013 Faculty Review and Revision, 2014 Faculty Review 2015 Faculty Review and Revision Jan 2016 Faculty Review and Revision 2017 Revised 08/2017 9
Nursing Department Organizational Chart: ADN and LPN The chart below depicts the organizational structure of the Nursing Department: ADN and LPN programs. As programs are run on multiple campuses, there is a distribution of available services based on course offerings. The Associate Dean of Nursing serves to oversee ADN and LPN programs and performs faculty evaluations for full time and adjunct faculty in addition to handling administrative issues relative to these nursing programs. The Associate Dean is responsible for providing direction and decision making relative to student issues. The Associate Dean of Nursing reports to the Dean of Health Occupations. The Health Records Specialist reports to the Dean of Nursing and Health Programs. This position is responsible for coordination of all student files for compliance with the clinical paperwork as required by the various clinical agencies. For each nursing course combination (with the exception of NUR 2820 Role & Scope), a full time faculty member has been assigned as the Course Primary Faculty. This full time faculty member is responsible for coordination of the specific course, ensuring consistency across campuses. In addition, the Course Primary Faculty serves as the initial point of contact should there be a student issue that requires additional consideration. The Course Primary Faculty notifies the Associate Dean of Nursing in terms of chain of command. If an issue arises in a remote campus related to the Nursing Program Policies and Procedures or Nursing Curriculum, the Associate Dean of Nursing should be notified. For other student issues that arise at a remote campus, the Associate Dean or Provost for that campus should be notified. Nursing faculty consists of both full time and adjunct members. Distribution of faculty is based on campus and course offerings. Lab facilitators contribute to clinical simulation labs and nursing skills labs. Distributions of lab facilitators are based on campus assignment. Staff assistants are present on North, West and Porter campuses. With regard to a nursing student issue or concern, the chain of command is as follows: (1) Course faculty, (2) Course Primary Faculty, (3) Clinical Coordinator and (4) Associate Dean of Nursing. To make an appointment with the Clinical Coordinator and/or Associate Dean, please contact the Staff Assistant on West Campus. Revised 08/2017 10
Pasco-Hernando State College Nursing Department Organizational Chart - ADN and LPN Staff Assistants North, West & Porter Campus Lab Facilitators West, East/North & Porter Campus West Campus: Generic Days, Transition Days, Practical Nursing Days and Practical Nursing Evenings East Campus: Generic Days North Campus: Transition Days and Practical Nursing Days Porter Campus: Generic Days, Transition Evenings, Practical Nursing Evening Subject to change dependent upon enrollment, sponsorship and needs assessment January 2014 Revised 08/2017 11
ADN - LEVEL I BEHAVIORAL OBJECTIVES & STUDENT LEARNING OBJECTIVES Provider of Care: As provider of care during the first year of the ADN Program, the student 1. Applies basic concepts of human growth and development, nutrition, pharmacology, pathophysiology, cultural awareness/gender diversity and health promotion to therapeutically intervene with clients having the more frequently occurring illnesses. 2. Demonstrates assessment and reassessment skills to provide nursing care. 3. Utilizes critical thinking, evidenced based practice and beginning clinical judgment to implement the nursing process in the provision of safe, basic nursing care for adult clients experiencing common alterations with oxygenation, nutrition and hydration, elimination, comfort and safety, security and mobility. 4. Utilizes safety procedures in a variety of nurse practice settings to maintain a safe physical and psychosocial environment for the client and other members of the health care team. 5. Uses standards of nursing practice to perform and evaluate client care. Provider of Care Student Learning Objective: Level 1 1. Time Management of total care for three patients by end of Level 1. 2. Safely administer all assigned medications for two patients by end of Level 1 3. 100% proficiency of math dosage calculation test within three attempts by end of level 1 4. Proficiency (75%) demonstrated in Cephalocaudal assessment skill evaluation with the addition of cranial nerves, JVD, and full cardiac assessment.. 5. Testing of Basic Knowledge related to Provider of Care Role shows a proficiency of 75% minimum on Tests at the completion of Level 1. 6. Completes Care Plans at a minimum of 75% proficiency by the end of level 1. 7. Obtains a Level two on Proctored Fundamentals ATI within two attempts and/or completion of remediation. Communicator: As communicator during the first year of the ADN Program, the student 1. Utilizes effective therapeutic interaction skills with clients, families and other members of the health care team to attain positive care outcomes. 2. Report and document assessments, interventions and progress toward client outcomes. 3. Communicates relevant, accurate and complete information in a concise and clear manner. 4. Utilizes basic skills in information technology to support and communicate the planning and provision of care. 5. Utilizes appropriate channels of communication. Communicator Student Learning Objectives: Level 1 1. Application of Basic Knowledge related to Communication by end of Level 1 by: a. Attaining a minimum proficiency of 75% for final test scores b. Attaining a minimum proficiency of 75% on Support Group Project 2. Proficiently Coordinates and communicates with student team members as a Nursing Care Coordinator (NCC) by end of Level 1. 3. Collaborates as NCC with the patient, family and health care team proficiently as a NCC by end of Level 1. 4. Utilized available technology effectively for data collection and documentation of nursing care, assessments and medication administration as allowed by facilities by completion of Level 1. 5. Utilized Cerner Electronic Health Record System efficiently as utilized within Level 1. Revised 08/2017 12
Teacher: As teacher during the first year of the ADN Program, the student 1. Assesses adult clients' learning needs, readiness to learn and barriers to learning. 2. Provides the client and significant support person(s) information needed to achieve identified learning outcomes and make health care choices based on evidenced based practice. 3. Implements a teaching plan in meeting the needs of adult clients with more frequently occurring illnesses. 4. Evaluates client learning based on established outcomes 5. Modifies teaching plans based on evaluation of progress toward achievement of learner outcomes. Teacher Student Learning Objectives: Level 1 1. Demonstrates basic teaching principles by consistently and accurately formulating and implementing comprehensive patient teaching plans by the end of level 1. 2. Assesses accurately patients learning needs and accurately develops a teaching plan on all care plans at a proficiency level of 75% or greater, and at least 100 % proficiency on two care plans by the end of Level 1. 3. Attains a grade of 75% or greater for final test scores. 4. Demonstrates a grade of 75% or greater on Teaching Presentation to client /family member by end of level 1 5. Clinical Conference: Proficiency rating of 75% of greater is attained by Level 1. Manager of Care: As manager of care during the first year of the ADN Program, the student 1. Assesses adult clients' health promotion needs. 2. Organizes the nursing care for 2 adult clients experiencing the more frequently occurring illnesses. 3. Participates as a member of the interdisciplinary health care team to assist clients to achieve health outcomes 4. Participate as a member of the interdisciplinary health care team to meet organizational outcomes. Manager or Care Student Learning Objectives: Level 1 1. Prioritizes and completes with direction basic patient care for two assigned patients by shifts end by the completion of level 1. Member of Profession: As member of profession during the first year of the ADN Program, the student 1. Demonstrates a commitment to professional growth. 2. Practices within the framework of the nursing profession's legal and ethical parameters based on standard of care and scope of practice. 3. Demonstrates self-evaluation skills. 4. Maintains professional boundaries in the nurse-client relationship 5. Protects confidential information according to HIPPA policies. Member of Profession Student Learning Objectives: Level 1 1. Practices within the ethical, legal and regulatory framework within the scope of nursing practice with cultural and global considerations on a fundamental level with minimal instructor guidance by the end of Level 1 2. Scores a minimum of 75% for final test scores 3. Attains a grade of 75% or greater on Values Assessment Project Revised 08/2017 13
ADN - LEVEL II Behavioral Objectives Provider of Care: As provider of care during the second year of the ADN Program, the student 1. Applies expanded concepts of human growth and development, nutrition, pharmacology, pathophysiology, cultural awareness/gender diversity, and health promotion in caring for clients with less frequently occurring or complex illnesses in a variety of nurse practice settings. 2. Demonstrates expanded, integrated assessment and reassessment skills to provide nursing care. 3. Utilizes critical thinking, evidenced based practice and clinical judgment to implement the nursing process in the provision of safe and effective nursing care to achieve positive outcomes for clients experiencing complex alterations in oxygenation, nutrition and hydration, comfort and safety, security and mobility. 4. Work cooperatively with others to achieve client and organizational outcomes. Provider of Care Student Learning Objective: Level ll 1. Time Management of total care for all patients for practicum assignment by end of level ll.. 2. Safely administer all assigned medications for all patients for practicum assignment by end of level ll. 3. 100% proficiency of math dosage calculations throughout practicum by end of level ll. 4. Proficiently completes initial physical assessment of patient within five minutes by end of level ll. 5. Attains a Satisfactory final evaluation of Practicum Performance by completion of level ll. 6. Final Grade of 75% or greater. Communicator: As communicator during the second year of the ADN Program, the student 1. Utilizes collaborative and therapeutic communication skills with clients, significant support person(s) and the health care team to meet client s needs and promote positive outcomes. 2. Accurately describes assessment and reassessment data in response to therapeutic nursing interventions through effective verbal, written skills and electronic health record documentation. Communicator Student Learning Objectives: Level ll 1. Proficiently participates in ongoing complex interactive processes which forms professional relationships on a consistent basis by completion level ll. 2. Utilizes therapeutic communication skills in communicating with client significant support persons, instructor, staff and other health care team members consistently and proficiently by end of level ll. 3. Independently Prepares and gives accurate and complete shift report to next shift consistently by end of level ll. 4. Utilizes available technology effectively as allowed by facility for data collection and documentation of nursing care, assessments and medication administration for all assigned patients by completion of level ll. Teacher: As teacher during the second year of the ADN Program, the student in collaboration with other health care providers utilizes teaching and learning principles in formulating teaching plans that are relevant to client s significant support person(s) level of development, knowledge and learning needs. 1. Develops and implements a teaching plan for a group of clients based on a needs assessment. 2. Incorporates information technology methods to deliver information to designated client groups in the community setting. Teacher Student Learning Objectives: Level ll 1. Demonstrated advanced teaching principles by accurately formulating and implementing a comprehensive teaching plan for patients and the community based on needs assessment for an identified group, incorporating Evidence Based Practice, HP 2020 and Health literacy concepts at a proficiency level of 75% or greater. 2. Satisfactory Preceptor Evaluation. Revised 08/2017 14
Manager of Care: As manager of care during the second year of the ADN Program, the student incorporates management and collaborative skills to provide nursing care for a group of clients experiencing complex alterations in basic needs to achieve positive client outcomes. 1. Incorporates delegation skills (supervision and evaluation) in the clinical setting to help plan care for a group of clients. 2. Uses organizational skills to improve health outcomes for a group of clients based on delivery of care. 3. Utilizes evidenced based practice to improve health outcomes for clients in various clinical settings. Manager or Care Student Learning Objectives: Level ll 1. As NCC independently prioritizes care of all team members assigned by end of level ll. 2. Satisfactory preceptor evaluation 3. Score a level 2 on proctored leadership in two attempts and or completes remediation if below a level 2 Member of Profession: As member of profession during the second year of the ADN Program, the student 1. Participates as an interdisciplinary member of the health care team. 2. Demonstrates a commitment to continuous learning and self-development. 3. Practices within the framework of professional, legal and ethical parameters based on standard of care and scope of practice. Member of Profession Student Learning Objectives: Level l 1 Practices within the ethical, legal and regulatory framework within the scope of nursing practice with cultural and global considerations on an advanced level by the end of Level ll. 2 Satisfactory Practicum Objectives formulated 3 Satisfactory Preceptor Evaluation ADN - Educational/Graduate Objectives Provider of Care: As provider of care, the graduate AD nurse uses critical thinking skills to: 1. Apply the nursing process for clinical decision making 2. Provide safe competent care to clients across the life span with well-defined health needs. 3. Collaborate to bring about fair solutions that balance differing needs, values and motivations for the purpose of achieving positive client outcomes. Communicator: As communicator, the graduate AD nurse utilizes: 1. A variety of interactive skills with clients and health team members to promote positive client outcomes. 2. Documents care based on required elements used for patient charting within the designated electronic health record 3. Complies with HIPPA guidelines relative to patient information in clinical settings to maintain safe clinical practice Teacher: As teacher, the graduate AD nurse assists clients' to: 1. Identify primary, secondary and tertiary health promotion aspects related to client learning needs. 2. Develop and utilize health promotion measures so as to improve health outcomes 3. Provide teaching materials to clients that are based on evidenced based practice. Manager of Care: As manager of care, the graduate AD nurse demonstrates: 1. Critical thinking skills, clinical decision making and clinical judgment to prioritize care 2. Supervisory skills to delegate nursing care to appropriate team members 3. Management skills to efficiently use time and resources 4. Practice within the parameters of individual knowledge experience Revised 08/2017 15
Member of Profession: As member of profession, the graduate AD nurse 1. Practices within the legal and ethical parameters of the nursing profession based on standard of care and scope of practice. 2. Uses resources and constructive feedback for continuous learning and self-development 3. Serves as an advocate for nursing, clients and other health care providers 4. Demonstrates employability skills 5. Serves as a positive role model within healthcare settings and the community at large ADN Program Outcomes Based on ACEN accreditation standards, the ADN nursing program utilizes components relative to program evaluation that reflect ACEN accreditation standards, identified Program Outcomes and Student Learning Outcomes. Components for identified program outcomes include but are not limited to: critical thinking, communication skills and therapeutic nursing interventions. Components for required program outcomes are: Performance on NCLEX Examination, Program Completion, Program Satisfaction (Graduate and Employer) and Job Placement. Associate In Science Degree Nursing Programs ADN Generic Program The Generic Program consists of a four (4) semester track that is designed for the student who has no previous nursing education. See current year's Catalog and Student Handbook. ADN Transition Program The Transition Program provides an accelerated program track for entry into the ADN Program for individuals who are either licensed as a LPN or as a Paramedic. If the student is a LPN, the program length is two (2) semesters. If the student is a Paramedic, the program length is three (3) semesters.. Upon acceptance transition students receive advanced placement based on previous paramedic or nursing education and current Florida licensure in their field. See current year's Catalog and Student Handbook. Graduates of each of the program tracks are eligible to sit for the National Council Licensure Examination for Registered Nurses (NCLEX-RN) in accordance with the regulations set for the Florida Nurse Practice Act. Revised 08/2017 16
Section II Student Policies Revised 08/2017 17
PASCO-HERNDO STATE COLLEGE Code of Academic and Clinical Integrity Honesty Integrity Respect Responsibility and Ethics (HIRRE) PHSC nursing students strive for HIRRE nursing accountability You have chosen to enter one of the most trusted professions in the world. Studies have shown that both in the United States and other areas of the world, people have a trust and faith in nurses that far surpasses most other professions. With this honor also comes an incredible responsibility to conduct yourself in a manner that is deserving of this trust. This responsibility does not begin at graduation; it begins upon admission into the nursing program. You have an obligation to report students that are violating the HIRRE principles. As a PHSC nursing student, you are expected to conduct yourself with honesty and integrity in both the academic and clinical settings. Academic honesty and integrity involves refraining from lying, cheating, plagiarizing, sharing or copying exam or test questions and/ or doing anything to gain an unfair academic advantage. Honesty and integrity also includes reporting unethical behavior that is being conducted by other students. Clinical honesty and integrity involves refraining from falsifying information (such as vital signs and intake and output records), seeking out your clinical instructor if you have made a mistake, and only documenting care that was provided. As a PHSC nursing student, you will demonstrate respect for your instructors, peers, and patients. Respect for your instructors includes calling them by their last names, refraining from talking when the instructor is speaking, and raising your hand if you have a question in class. In class, respect for your peers includes refraining from talking when another student is speaking, refraining from making comments when another student has a question, and never making fun of other students. In clinical, respect for your patient includes refraining from talking down to your patients, maintaining an appropriate provider/patient relationship, and treating your patients as you would want to be treated. As a PHSC nursing student, you will demonstrate responsibility for your actions. Academic responsibility includes handing assignments in on time and not representing the work of another as your own. You should never give your paper work to another student taking the same course, and should not accept paperwork or guidance from other students regarding exams or assignments. Clinically, responsibility refers to the execution of duties associated with the student nurse s particular role, depending upon where you are in the program. Clinical responsibility involves arriving on time to your clinical agencies, remaining there the entire time even if you are at an observational site and your instructor is not present, and informing your instructor if changes in the assignment occur. Failure to perform these acts can be considered patient abandonment. Inappropriate use of social media is not permitted and can result in HIPPA violations. As a PHSC nursing student, you will demonstrate ethics in your conduct. Ethics involve the following principles: Non-maleficence- not inflicting harm; the duty to do no harm to others Beneficence- benefiting others by doing good; the duty to do good, not harm to others Justice- involves treating others fairly Fidelity- faithfulness, means that student nurses keep the promises they make to their patients, peers, and instructors, and involves the duty to be true and loyal to others Revised 08/2017 18
If you wish to anonymously report a violation of these principles, please obtain a Student Situation Report form and place it in the HIRRE drop box on your campus. Consequences for violations of these principles will depend upon the severity of the infraction. Specific information regarding cheating and plagiarism can be found in the student handbook. Violations may result in disciplinary procedures. Criminal Background Checks Although not a requirement for admission, each student after admission to a nursing program must obtain a criminal background and level two background check with fingerprints. Any student whose level two background check indicates a history of a charge (excluding traffic offenses) may be at risk for not being able to gain placement within clinical rotations. Each facility that would be part of the student s progression through the program would need to be apprised of the student s background as having a hit. The facility would then need to meet with the student, review the charges and disposition prior to ruling whether or not the student would be allowed to complete his clinical rotation at the site. The clinical agency has the right to deny a student access to their facility, which may result in the student s inability to both satisfy the course clinical objectives and complete the nursing program. The school is not responsible for securing a replacement clinical rotation for the student. Should a student be denied access to the clinical site, the student would not be able to progress in the program. The student may find them self in the position where they would need to withdraw from the course, however still be financially responsible for the course, should the date for DROP ADD passed. All students are required by the college to obtain a Criminal Background and level two background check with fingerprints from the company Certified Background (www.certifiedbackground.com) a minimum of once a year. Students are to initially submit two (2) paper copies to the Nursing Programs office at the along with a signed Consent for Release for Criminal Background Check form so that information can be released to the student s assigned clinical agency. The cost of these required elements are folded into the Fees that are assessed each students. Therefore, there is no out of pocket expense for the student at the time of having the background and fingerprint completed. In addition, students are required to provide an updated background check, two (2) paper copies, after their first year in the nursing program. They must also report to the Nursing Department any changes to their background status should this occur during their enrollment in the program. Failure to report a change in one s criminal background status to the Nursing Department will result in the student s immediate dismissal from the program without eligibility to reenroll. If a student does not attest to charges/ convictions/or arrests on the background attestation form which is required to be completed as part of the admissions process once accepted into the program, the student will be immediately dismissed without eligibility for reenrollment. Health Clearance Upon admission to the Health Programs, a current complete physical examination is required utilizing the Health Programs Physical Examination Report (SAR-40) provided for that purpose. Students cannot enter the clinical setting until this requirement has been satisfied. The health records are reviewed by the Associate Dean of Nursing and/or the Clinical Coordinator and are retained in the student records in that office. Upon entry into the second year a Student Health Record Up-date (SAR-41) is required, utilizing the form provided for that purpose. Students cannot enter the clinical setting until this requirement has been satisfied. In instances of major illness, surgery, accident, or an infectious disease, students will be asked by faculty (or if needed the Clinical Coordinator and/or the Associate Dean of Nursing) to submit a physician's statement of release prior to reentering campus and/or clinical settings. A repeat physical exam may be required. Failure to provide faculty of any health concerns places the client, staff and other students in jeopardy. Since some clinical practice settings or assignments may be contraindicated during pregnancy, the student needs to advise the clinical faculty of the pregnancy. Reasonable accommodations will be made so that the student can meet required course outcomes. Revised 08/2017 19
Immunization Tracker Students are required to provide health information records to the Medical Records Document Tracker via the www.certifiedbackground.com website Students may upload, mail, or fax the information to the company. The student is responsible to insure that any updates to the health records are accurate and current. Drug/Alcohol Screen Policy Upon admission to the nursing programs, current (within the last three (3) months), negative drug/alcohol screens are required. Student may be required to repeat the drug/alcohol screens per clinical agency request. Students cannot enter specific clinical settings until the requirement is satisfied. The drug/alcohol screens are reviewed by the Associate Dean, Nursing Programs or an approved designee and may be utilized by the clinical agency to determine student clearance for clinical placement. Failure to submit drug/alcohol screens or positive results may prevent progression in the program. Insurance Coverage The College does require Health Program students to purchase liability/malpractice insurance for clinical assignments. The required liability insurance fee is incorporated annually into tuition fees, fee subject to change. The College does not carry health insurance for students or family members. The school does carry accident insurance which assists them if they injure themselves while participating in a nursing program activity. In the event of an accidental needle stick or unprotected exposure to blood or body fluids, the student should immediately report the incident to their clinical instructor and is advised to seek advice from their healthcare provider regarding treatment and follow-up. Neither the college nor the clinical agency will pay for any treatment rendered as a result of accidents or injuries that occur while on clinical assignment, however, students will purchase, through the college, accident insurance to cover clinical accidents and injuries only. The insurance cost for accidents and injury in the clinical setting is $8.00 per year. Disability Statement Pasco-Hernando State College provides reasonable accommodations for students with disabilities in compliance with Title II of the Americans with Disabilities Act of 1990. A student who is in need of one or more accommodations for a disability must make a request either verbally or in writing to the Coordinator of Disabilities Services. In the event that a request is made directly to an instructor or other staff member, the instructor or staff member must refer the student to the Coordinator of Disabilities Services. The student must self-identify the disability by completing the Self Identification and Authorization Form for Students with Disabilities (SDS-1) as well as provide documentation of the disability that complies with the PHSC published Guidelines for Documentation of a Disability. Confidentiality is strictly maintained for any records provided to the Office of Disabilities Services related to the student s disability. Under the law, PHSC is allowed to request documentation that reflects the current functioning of the student. Attendance & Passing Requirements Theory and Clinical Lab Students are expected to attend all class, laboratory, and clinical sessions and to be on time. Any absences from class and laboratory sessions are to be reported by phone to the faculty to which assigned, prior to the class or laboratory time. It is the student s responsibility to obtain any information provided on the day of absence including handouts, directions, class notes, etc. from class members. It is the responsibility of the student to make an appointment to see the faculty responsible for the class to clarify any questions. Nursing students must be in compliance with required college policies related to attendance verification for courses. LAB HOURS: All courses have a minimum number of clinical lab hours that must be attended. ALL missed lab hours must be completed as a passing requirement for the course. Scheduling of missed clinical lab hours is done solely by availability of faculty and lab facilitators. Be aware that the college does not guarantee that all missed clinical lab hours can be or will be re-scheduled. Revised 08/2017 20